Header_Questionnaire

 

NAME

(FIRST):

 (LAST):

DATE OF BIRTH:

EMAIL:

TELEPHONE (HOME)

(CELL)

ADDRESS (STREET):

(CITY) (STATE) (ZIPCODE)

SHIRT SIZE: (PICK ONE) SM XL  XXL  XXXL

SHORT SIZE: (PICK ONE) SM  XL  XXL  XXXL

POSITION(S): 1. 2. 3.

HEIGHT: WEIGHT:

HIGH SCHOOL: GRADUATION DATE:

COLLEGE/UNIVERSITY:

COLLEGE GRADUATION DATE:

HAVE YOU EVER BEEN INJURED? YES NO

IF YES PLEASE LIST MONTH/YEAR : AND TYPE OF INJURY:

TIMED MEASURABLES: 40 YRD DASH: SHUTTLE:

THREE CONE DRILL: VERTICAL JUMP: BROAD JUMP:

BENCH PRESS (225 MAX PRESS):

DO YOU OWN GEAR?: YES NO

IF NOT CAN YOU AFFORD TO PURCHASE GEAR?: YES NO

IF YOU HAVE PLAYED FOR ANOTHER TEAM, DO YOU OWE THAT TEAM MONEY OR GEAR?: YES NO

IF YES, WHAT TEAM AND WHEN:

DO YOU HAVE ANY COMMITMENTS (MILITARY/LEGAL/OTHER) THAT MAY INTERFERE WITH THE 2015 FOOTBALL SEASON (JUNE – DEC): YES NO

DATES:

You cannot play on any NDPFL team while owing a member team anything

REASON FOR PLAYING FOOTBALL IN THE NDPFL:

I HEREBY CERTIFY that my answers to the foregoing questions are true and complete and that I have not knowingly withheld any facts, circumstances or other information, which would, if disclosed, affect my application. I further understand that any false or misleading statement or omission of pertinent information will result in the rejection of my application.

SIGNED:

DATE:

 

California Dolphins football try outs on April 18,2015 at 12 pm - 3pm location at Cesar Chavez High School